NR 668 CEA Final Exam Questions and
Answers
Question 1
Which of the following symptoms supports the diagnosis of Conversion disorder?
a. The presence of dissociative symptoms
b. Localized anesthesia
c. All of these support the diagnosis
d. Tunnel vision
Correct Answer
c. All of these support the diagnosis
*the diagnostic criteria for conversion disorder includes one or more symptoms of
altered voluntary motor or sensory function. The clinical findings are incompatible
with neurological or medical conditions. The symptoms are not better explained by
another mental or medical disorder. The symptoms cause great distress or
impairment in function for the individual
Question 2
A 68-year-old man presents with his wife for evaluation of sleep disorder. The wife
reports he does not sleep well at night and wanders around the house. He then sleeps
much of the day. Which of the following medications is preferred to control this
behavior?
a. Chlorpromazine
b. Haloperidol
c. Trazodone
d. Lorazepam
Correct Answer
c. Trazodone
Page 1 of 163
,Question 3
A 36-year-old victim of domestic violence has three young children at home. She
presents to the PMHNP for depression, and requests something to calm her nerves
because she is not sure how much more she can tolerate. What should the PMHNP
do next?
a. Admit the patient for homicidal ideation
b. Prescribe a sedative to calm her nerves
c. Admit the patient for suicidal ideation
d. Provide information about support resources
Correct Answer
d. Provide information about support resources
Question 4
Theodore is a 44 year old male with a history of traumatic brain injury (TBI). Today, he
presents to you with his caregiver, Beverly. He has difficulty determining whether you
are happy or angry. Which area of the brain is most likely impacted secondary to his
TBI?
a. Right hemisphere
b. Left hemisphere
c. Medulla
d. Substanti hemisphere
Correct Answer
a. Right hemisphere
*damage to the right hemisphere may impair the ability to interpret when a speaker
is angry, sad, happy, or other
Question 5
A 43-year-old man is requesting medication-assisted treatment for addiction with
Suboxone and wants to begin immediately to "get his life back." What should the
PMHNP do first?
a. Prescribe suboxone 2mg SL daily to start now
b. Assess his current level and history of use
c. Provide psychoeducation regarding suboxone maintenance
d. Refer the patient to an inpatient detox facility
Correct Answer
b. Assess his current level and history of use
Page 2 of 163
,Question 6
A patient who is considering electroconvulsive therapy (ECT) for resistant depression
inquires as to the number of sessions she would likely require. Based on the best
evidence currently available what is the best response?
a. 4
b. 40
c. 20
d. 10
Correct Answer
d. 10
Question 7
Leo is a 32-year-old male with MDD who has been treated with Citalopram for the
last 5 years. Which of the following is associated with an increased risk of serotonin
syndrome?
a. All of these are associated with increased risk
b. Yohimbe, Panax ginseng, and St. john's wort
c. Triptans, oxycodone, and tramadol
d. 5-HTP, valproate, and tryptophan
Correct Answer
a. All of these are associated with increased risk
Question 8
Michale is a 30 year old male admitted to the inpatient psychiatric unit with thoughts
of self harm. Which of the following is the best choice for the evaluation and
documentation of a suicide assessment?
a. Broset checklist
b. SAFE-T
c. SLUMS
d. SIGECAPS
Correct Answer
b. SAFE-T
The Suicide Assessment Five Step Evaluation and Triage or SAFE-T plan is a 5 step
process for conducting a suicide assessment. The SAFE-T assessment is endorsed by
the US Department of Health & Human Services/SAMHSA
Page 3 of 163
, Question 9
Andika, a 26 year old male from Indonesia swung a sword at a doctor shortly after the
sudden death of his father. He lost consciousness, collapsing to the floor after the
violent attempt to hurt the doctor. Which culture bound syndrome best describes
Andika's behavior?
a. Latah
b. Amok
c. Ataque de nervios
d. Koro
Correct Answer
b. Amok
Amok is mostly found amongst males in Malaysia and Indonesia. Sudden violent
behavior that is often followed by amnesia best describes this dissociative episode.
Question 10
Which type of brain matter contains myelin and allows electrical signals to travel fast?
a. White matter
b. Yellow matter
c. Black matter
d. Gray matter
Correct Answer
a. White matter
*white matters allows electrical signals to travel very fast - this matter appears white
due to its myelin content
Page 4 of 163
Answers
Question 1
Which of the following symptoms supports the diagnosis of Conversion disorder?
a. The presence of dissociative symptoms
b. Localized anesthesia
c. All of these support the diagnosis
d. Tunnel vision
Correct Answer
c. All of these support the diagnosis
*the diagnostic criteria for conversion disorder includes one or more symptoms of
altered voluntary motor or sensory function. The clinical findings are incompatible
with neurological or medical conditions. The symptoms are not better explained by
another mental or medical disorder. The symptoms cause great distress or
impairment in function for the individual
Question 2
A 68-year-old man presents with his wife for evaluation of sleep disorder. The wife
reports he does not sleep well at night and wanders around the house. He then sleeps
much of the day. Which of the following medications is preferred to control this
behavior?
a. Chlorpromazine
b. Haloperidol
c. Trazodone
d. Lorazepam
Correct Answer
c. Trazodone
Page 1 of 163
,Question 3
A 36-year-old victim of domestic violence has three young children at home. She
presents to the PMHNP for depression, and requests something to calm her nerves
because she is not sure how much more she can tolerate. What should the PMHNP
do next?
a. Admit the patient for homicidal ideation
b. Prescribe a sedative to calm her nerves
c. Admit the patient for suicidal ideation
d. Provide information about support resources
Correct Answer
d. Provide information about support resources
Question 4
Theodore is a 44 year old male with a history of traumatic brain injury (TBI). Today, he
presents to you with his caregiver, Beverly. He has difficulty determining whether you
are happy or angry. Which area of the brain is most likely impacted secondary to his
TBI?
a. Right hemisphere
b. Left hemisphere
c. Medulla
d. Substanti hemisphere
Correct Answer
a. Right hemisphere
*damage to the right hemisphere may impair the ability to interpret when a speaker
is angry, sad, happy, or other
Question 5
A 43-year-old man is requesting medication-assisted treatment for addiction with
Suboxone and wants to begin immediately to "get his life back." What should the
PMHNP do first?
a. Prescribe suboxone 2mg SL daily to start now
b. Assess his current level and history of use
c. Provide psychoeducation regarding suboxone maintenance
d. Refer the patient to an inpatient detox facility
Correct Answer
b. Assess his current level and history of use
Page 2 of 163
,Question 6
A patient who is considering electroconvulsive therapy (ECT) for resistant depression
inquires as to the number of sessions she would likely require. Based on the best
evidence currently available what is the best response?
a. 4
b. 40
c. 20
d. 10
Correct Answer
d. 10
Question 7
Leo is a 32-year-old male with MDD who has been treated with Citalopram for the
last 5 years. Which of the following is associated with an increased risk of serotonin
syndrome?
a. All of these are associated with increased risk
b. Yohimbe, Panax ginseng, and St. john's wort
c. Triptans, oxycodone, and tramadol
d. 5-HTP, valproate, and tryptophan
Correct Answer
a. All of these are associated with increased risk
Question 8
Michale is a 30 year old male admitted to the inpatient psychiatric unit with thoughts
of self harm. Which of the following is the best choice for the evaluation and
documentation of a suicide assessment?
a. Broset checklist
b. SAFE-T
c. SLUMS
d. SIGECAPS
Correct Answer
b. SAFE-T
The Suicide Assessment Five Step Evaluation and Triage or SAFE-T plan is a 5 step
process for conducting a suicide assessment. The SAFE-T assessment is endorsed by
the US Department of Health & Human Services/SAMHSA
Page 3 of 163
, Question 9
Andika, a 26 year old male from Indonesia swung a sword at a doctor shortly after the
sudden death of his father. He lost consciousness, collapsing to the floor after the
violent attempt to hurt the doctor. Which culture bound syndrome best describes
Andika's behavior?
a. Latah
b. Amok
c. Ataque de nervios
d. Koro
Correct Answer
b. Amok
Amok is mostly found amongst males in Malaysia and Indonesia. Sudden violent
behavior that is often followed by amnesia best describes this dissociative episode.
Question 10
Which type of brain matter contains myelin and allows electrical signals to travel fast?
a. White matter
b. Yellow matter
c. Black matter
d. Gray matter
Correct Answer
a. White matter
*white matters allows electrical signals to travel very fast - this matter appears white
due to its myelin content
Page 4 of 163
